REZUM--HAVE YOU HAD THIS DONE???????

Jim

You might also address frequent urination as a function of total daily liquid intake.

In my case I drank 4 to 4 1/2 liters of liquid per day for most of my life, when the normal standard is 1 1/2 liters per day.

After I cut down my daily liquid intake it helped a lot.

Neal

Leon & JCL    It looks like that REZUM is not doing what they say it should.  Before the procedure did the doctor do test to check any other issues.  You should have had some improvement  Good luck  Ken  

Most likely, you're just suffering because of the infection. Bleeding for the first 4 weeks or so is common and it tends to peak at around week 3. Urgency is also common and it dissipated for me at around week 6, except when I ran. It wasn't horrible then, but noticeable. Eventually (a couple more months) it went away too.

As for sex, you're probably just dealing with the aftermath of your UTI there too. I was a slow healer, but had sex on day 2 or 3 and it didn't cause any problems for me.

Thanks for the response! It's just so hard to tell the difference anymore and if I'm actually healing. I will be patient and understand I need to give it much more time,

Please give updates every now and then.  Other folks are thankful for all the info we can get. 

Hey Mike thanks for the response. Thankfully I don't feel like I have to owe all the time anymore. The worst part is the pressure I feel almost constantly. It comes and goes but 2 is there most of the time. It aches. I'm assuming that's from the surgery. The infection as far as I know is gone. I see my URO Thursday. We will see what he says. I wish they had a direct forum for patients local to each urology office. It would be nice to see if anyone has experienced what I am going through

It is important to know that the prostate is a big deal- any procedure done has side effects, and these should be discussed prior to anything being done.

Hi Doc,

Great insight. What is the easiest way to know if this is the case? Cystoscopy? Imaging? And if one doesn't want to wait, or if the tissue doesn't pass on its own, how then is it removed?

Jim

Thank you.  Going to have to read up on the procedure again.  What I don't understand is if they are killing the tissue inside of the prostate shell how is that tissue getting into the urethra.  I thought the tissue is absorbed into the body.  Thanks  Ken      

Thanks. Makes sense.

Speaking of "Uroflow", I've always questioned its utility, especially as a standalone. Within limits of course, does it really matter how fast the urine comes out, as long as the bladder empties properly? In other words, isn't it better to p*ss like a pony with zero PVR than p*ss like the proverbial horse with retention  

In my case, for example, I often take a pass on Uroflow at the uro's, because I already know that my flow can be weak on occasion, but strong on other occasions. I also know (I have a bladder scanner at home) that the flow rate makes no difference with how complete I can empty. 

For example, my PVRs these days are pretty much always below 100 and often close to zero after a second void. No correlation with flow rate. What seems to correlate with flow rate might be initial bladder volume, type of fluid intake (coffee, alcohol, versus water), sodium intake, and perhaps exercise. 

Jim

Hi guys

To date I still have not experienced a single benefit or improvement from having Rezum. Now over 100 days ago.

Urologist says must be something other than the prostate such as the bladder. Although an ultrasound showed I was empty.

Urologist called Rezum and they said "cant be the prostate at this point" so I was given a Bladder medication (Toviaz) which I took for 4 to 5 days. All it did was cause loose stool and prevented me from urinating. It was not helping so I stopped. I started Rapaflo again from samples I still have left.

Within a day or two I was at least peeing with some normalcy.

I was in contact with Rezum and they said they were going to have their doctor call me last week, but he never did. I also called my urologist to tell them that the bladder meds made things worse for me and I started the Rapaflo with some success could they get me a prescription for generic flomax? They also did not call me back.

Now it has been 1 week to 10 days on Rapflo and I am starting get this pain again when I start to pee. It is as though pee is leaving the bladder but hitting restriction down stream after the prostate.

Before Rezum I also had split stream and sprayed urine with weak flow and many many trips to the bathroom per day. I also had weak ejaculation force. Barley anything would come out.

I am starting to wonder - do I have an issue with my urethra and not my prostate? My urine is still coming out in a rifled looking stream that will still split and spray off and on during urination. But now since Rezum and rapflo I have no ejaculation and the orgasm is weak to almost a dull feeling.

Does anyone know how they check the urethra?

I have had at least 6 cystoscopes and I always tell them it hurts like hell at a curtain point, they said that is the prostate being tight, but could it be a urethra issue and they are not testing for?

thoughts suggestion please...

Rezum was suppose to be the fix, with no side effects.

Turns out that was not the case for me at least.

I have had approximately 6 cystoscopes, three uro-dymanic flows, 1 rectal ultrasound to measure the prostate and finally Rezum. Prior I was not even on meds. I just lived with the condition.

Hi guys

Another update. Yesterday I had the pleasure of speaking with the Urologist with NxThera.

After hearing everything I have done and been through since my early 20's - he does not believe I have or even had a prostate problem. This is why Rezum did not work for me and this is why the meds are not doing really anything either.

He recommends I see a Urology specialist at a medical center near me such as University of South Florida and have a test performed called a videourodynamic study. He feels as do I that my problem is after the prostate in the urethra and the sphincter muscle. 

Why? Because as was an issue prior my urine comes out rifled and spray and goes into 2 streams then dribbles at the end. These are all signs of a restriction after the prostate. He was surprised that I have had so many cystoscoped done and not one urologist found a problem and or recommended video imaging.

This is why I have always said, Doctor do not give a crap about you or healing you you are only a number to them a $$$ - do the cheapest least amount of time and effort office exams possible. Herd them through the front door.

It is really a shame but its true. My Urologist does not even listen to me when I speak to him, he is too busy typing on his laptop.

So now I will be trying to get my primary doctor to order this test and see if we can get insurance approval.

On a side note here is a good one. One Urologist I spoke with and scheduled the Rezum procedure with but later cancelled with him because I did not like his pain control policy for the Rezum. He said if you don't want to be awake I will  put you out and we can just do the laser removal "green therapy" sure am glad I did not listen to him. Again doctor are no longer technicians they are salesman pushing pills and BS office exams so they can close early on Friday.

It's what I thought, urethral stricture. It should be found out long ago. Hank

Good luck with your video urodynamics. Too late in your case, but in most instances urodynamic studies should always be done prior to any surgery or prostate reduction procedure. Unlike imaging, and I don't care what type of imaging, and unlike cystoscopy, urodynamics measures the actual voiding function. Video urodynamics is the gold standard of urodynamics and if you can at all find a center that performs it, all the better. 

Jim

I know this doesn't help but I truly feel for you brother. God bless

Thank you. It took 3 trys to get it in and it hurt like hsdsss. Not havimg surgety till 4:30. They put in a catheter in when the dovctor hit the prostate i was in so much pain now im bleeding. Can't wait to see whatis the problem. It don't look good. Ken

Hi Ken,

Really sorry what you're going through. The good news is that your kidneys are now producing urine and it's getting into the bladder. If that weren't the case, then things would be worse. 

From very afar, I tend to think that a specialized cath team could figure things out, but  not sure if they have a dedicated team at your hospital. An alternative is a suprapubic while things are sorted out. That would not only drain your bladder but give your urethra and prostate a rest from all that jabbing. They can optionally add a valve to the suprapubic, so you can dispense with the bag. 

Jim

If they do suprapubic catheters at your  hospital, that would be my choice now. A suprapubic requires just a very tiny incision in  the abdomen, so it should be very easy to do since you're already in the hospital. That would mean no more catheters in the urethra and trauma until things got sorted out. Once you don't need the suprapubic, they simply pull the tube out and the hole closes and heals by itself very quickly. Don't let them keep butchering you with Foley. 

Jim

Sorry didn't mean "foley" but from the way things are going with the intermittent cathing, you might be better off with a Foley than repeated traumatic intermittent caths. That said, a suprapubic would still be my first choice.